Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER BOOTH LCSW
NPI 1962410811
Social Worker in East Hartford, CT

Q: What is Tyler Booth's NPI number?

The NPI number for Tyler Booth is 1962410811. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Tyler Booth's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Booth was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2006PECOS Enrolled

281 MAIN ST, EAST HARTFORD, CT 06118(860) 569-5900 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyler Booth Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BOOTH LCSW (NPI 1962410811) is an individual social worker in East Hartford, Connecticut, licensed in Connecticut (006155) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962410811

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameTYLER BOOTHCredential: LCSW

Location Address281 MAIN STEast Hartford, CT 06118-1883

Mailing Address281 Main StEast Hartford, CT 06118-1883 · (860) 569-5900

Phone(860) 569-5900

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1962410811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CT · 006155

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

281 MAIN ST, East Hartford, CT 06118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Booth Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY L BEAUREGARD LCSW

Social Worker